Individual provider Active NPI

Laina Diann Bieniek, APRN

  • Nurse Practitioner
  • Jacksonville, FL
National Provider Identifier
1275302705
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11033617 Issued in FL
Practice address
8789 San Jose Blvd Ste 111
Jacksonville, FL 32217-4253
Phone
(904) 376-3500
Fax
(904) 390-7519
NPI assigned
Dec 26, 2023
Last updated
Apr 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 117274 WV
Nurse Practitioner 363L00000X APRN11033617 FL Primary
Family Nurse Practitioner 363LF0000X APRN11033617 FL

Addresses

Primary practice location

8789 San Jose Blvd Ste 111
Jacksonville, FL 32217-4253

Mailing address

PO Box 746638
Atlanta, GA 30374-6638
Phone (904) 202-2092

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address laina.bieniek@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240320001304 WV Practitioner - Nurse Practitioner 7113364647 Reassigns benefits to 1 organization
I20250429003873 FL Practitioner - Nurse Practitioner 7113364647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Baptist Primary Care IncGroup PAC ID 0648177733, 459 clinicians

Practice addresses (Care Compare)

8789 San Jose Blvd
Suite 111
Jacksonville, FL 32217-4253
Phone (904) 376-3707

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
APRN11033617FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Primary Care Inc CurrentSince Jun 2, 2025 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Mar 25, 2024 Accepting new patients
Baptist Primary Care Inc Nurse Practitioner CurrentSince Jun 2, 2025 Accepting new patients
University Physicians & Surgeons, Inc Family CurrentSince Mar 25, 2024 Accepting new patients

Locations

836 Prudential Dr
Ste 1207
Jacksonville, FL 32207
Phone (904) 396-8656

8789 San Jose Blvd
Ste 111
Jacksonville, FL 32217
Phone (904) 376-3500

1249 15th St
Ste 3000
Huntington, WV 25701
Phone (304) 691-1095

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

Interoperability endpoints

  • Direct secure messaging: lbieniek281326@baptisthealthsystemjacksonville.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1703548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744934400000",
    "number": "1275302705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 746638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303746638",
            "telephone_number": "904-202-2092",
            "fax_number": "904-376-4075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8789 SAN JOSE BLVD STE 111",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322174253",
            "telephone_number": "904-376-3500",
            "fax_number": "904-390-7519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIENIEK",
        "first_name": "LAINA",
        "middle_name": "DIANN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-26",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WV",
            "license": "117274",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11033617",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033617",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "laina.bieniek@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th St Ste 3000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013663",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.